All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.


Pancreatico-Colonic Fistula after Endoscopic Ultrasound-Guided Cyst Drainage for Pancreatic Pseudocyst: Report of Three Cases

Endoscopic ultrasound-guided cyst drainage is increasingly performed in the treatment of pancreatic pseudocysts and walled-off pancreatic necrosis. We have experienced three cases of colonic fistula after endoscopic ultrasound-guided cyst drainage. Case #1 was a patient with walled-off pancreatic necrosis, in which a fistula into the transverse colon occurred as a late complication of endoscopic ultrasound-guided cyst drainage. We closed the fistula with fibrin glue and endoscopic clips. Case #2 was a patient with walled-off pancreatic necrosis treated by endoscopic ultrasound-guided cyst drainage. During repeat endoscopic ultrasoundguided cyst drainage, a fistula was noted at the splenic flexure of the transverse colon, which was confirmed by contrast enema. He was successfully treated by diverting colostomy and abscess drainage. Case #3 was a patient with a history of pylorus-preserving pancreaticoduodenectomy for intraductal papillary-mucinous neoplasm. He presented with a pancreatic pseudocyst in the pancreatic tail. During endoscopic ultrasound-guided cyst drainage, a fistula was noted in the transverse colon. The patient was treated by naso-biliary tube with a pig-tail biliary stent and total parenteral nutrition. Our experience suggests that colonic fistula after endoscopic ultrasound-guided cyst drainagecan be managed conservatively.


Shuhei Oana, Sho Shibata, Takayuki Matsumoto

Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+

Abstracted/Indexed in

  • Index Copernicus
  • Academic Journals Database
  • Genamics JournalSeek
  • Academic Keys
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • Scimago
  • British Library
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Emerging Sources Citation Index (ESCI)
  • EBSCO Host
  • MIAR
  • International Committee of Medical Journal Editors (ICMJE)
  • University of Zurich - UZH
  • University Grants Commission
  • SWB Online-Katalog
  • Scholarsteer
  • Geneva Foundation for Medical Education and Research
  • Secret Search Engine Labs
Flyer image